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North Carolina Medicare Supplement Rates and Application
Mutual Of Omaha / United World Life Medicare Supplements - - - - State of North Carolina
Medicare Supplement Rates
To determine your rate, use the Rate page for your Zip Code (Smoker or Non-Smoker
/ Male or Female) then divide the Anunal Rate by 12 to determine the monthly rate.
Questions? call Toll Free Help Line 888-408-3788
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Medicare Supplement Application Download
Download the Application and then call the Toll Free Help Line 888-408-3788
for assistance in completing the required forms.
The completed application should be mailed
to:
Express-quote Insurance
1825 White Oak Rd.
Blairsville, GA 30512
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Medicare Supplement Plans A-J |
| |
A |
B |
C |
D |
E |
F |
G |
H |
I |
J |
| Basic Benefits |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
| Skilled Nursing Co-Insurance |
 |
 |
X |
X |
X |
X |
X |
X |
X |
X |
| PART A Deductible |
 |
X |
X |
X |
X |
X |
X |
X |
X |
X |
| PART B Deductible |
 |
 |
X |
 |
 |
X |
X |
X |
X |
X |
| PART B Excess |
 |
 |
 |
 |
 |
100% |
80% |
 |
100% |
100% |
| Foreign Travel Emergency |
 |
 |
X |
X |
X |
X |
X |
X |
X |
X |
| At-Home Recovery |
|
|
|
X |
|
|
X |
 |
X |
X |
| Basic or Extended Drugs |
|
|
|
|
 |
|
|
B |
B |
E |
| Preventive Care |
 |
 |
 |
 |
X |
 |
 |
 |
 |
X | |
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B or E - Pays 50% after $250 Deductible,
B - $1,250 Benefit Limit, E - $3,000 Benefit Limit |
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